Clinical Ophthalmology (Mar 2022)
Poor Correlation of Provider and Patient Satisfaction with Anesthesia in Ophthalmic Surgeries: A Secondary Analysis of a Clinical Trial
Abstract
Natalie Sadlak,1 Marissa G Fiorello,1 Howard J Cabral,2 Manju L Subramanian,1 Manishi A Desai,1 Hyunjoo J Lee1 1Department of Ophthalmology, Boston University School of Medicine, Boston, MA, USA; 2Department of Biostatistics, Boston University School of Public Health, Boston, MA, USACorrespondence: Hyunjoo J Lee, Boston University School of Medicine, 85 East Concord Street, 8th Floor, Boston, MA, 02118, USA, Tel +1 617 414-2230, Fax +1 617 638-8301, Email [email protected]: This secondary analysis of a clinical trial that measured surgeon, anesthesiologist, and patient satisfaction following ophthalmic surgery under monitored anesthesia care (MAC) with a benzodiazepine investigates the degree of association between patient satisfaction with anesthesia compared to surgeon and anesthesiologist satisfaction with anesthesia.Patients and Methods: Data from analogous 6-point surgeon satisfaction surveys and anesthesiologist satisfaction surveys were compared to data from a 6-point validated patient satisfaction survey collected from a clinical trial investigating satisfaction with different forms of benzodiazepine for patients undergoing cataract, retina, cornea, or glaucoma surgery. Relationships between measures were analyzed using Pearson’s correlation coefficient, with further subgroup analysis based on language groups and single-question measures of satisfaction.Results: A total of 283 ophthalmic surgical cases were analyzed. Mean surgeon satisfaction was 5.27 (range, 1.33– 6.00), mean anesthesiologist satisfaction was 5.12 (range, 1.17– 6.00), and mean patient satisfaction was 5.28 (range, 2.58– 6.00). The correlation between surgeon and patient satisfaction was 0.333 (p = 9.06e-9), while the correlation between anesthesiologist and patient satisfaction was 0.319 (p = 4.28e-8). There was no difference between English and non-English speaking patients in correlation between surgeon and patient satisfaction (p = 0.08) and anesthesiologist and patient satisfaction (p = 0.47).Conclusion: The data demonstrate a low level of association between patient satisfaction with anesthesia and provider satisfaction, even when patient language is taken into consideration. This suggests that providers are poor predictors of patient satisfaction with anesthesia and are unreliable judges of patient comfort perioperatively.Keywords: conscious sedation, quality measures, monitored anesthesia care, ocular procedures
